Practice preferences for glaucoma surgery: A survey of the American Glaucoma Society in 2008

Manishi A. Desai, Steven J. Gedde, William J. Feuer, Wei Shi, Philip P. Chen, Richard K. Parrish

Research output: Contribution to journalArticlepeer-review

112 Scopus citations


■ BACKGROUND AND OBJECTIVE: To evaluate glaucoma surgical practice patterns among members of the American Glaucoma Society (AGS). ■ PATIENTS AND METHODS: An anonymous webbased survey was sent to AGS members to determine their preferred surgical approach in ten clinical settings. Survey results were compared with those from 1996 and 2002. ■ RESULTS: A total of 125 (22%) AGS members responded to the survey. Mean glaucoma drainage device (GDD) usage increased from 17.5% (range: 5% to 37%; standard deviation [SD]: 10.9%) in 1996 to 50.8% (range: 15% to 76%; SD: 17.3%) in 2008, and mean trabeculectomy usage decreased from 80.8% (range: 62% to 93%; SD: 11.3%) in 1996 to 45.5% (range: 16% to 80%; SD: 17.9) in 2008. GDD was most popular in none of 8 clinical settings in 1996, and 5 of 8 clinical settings in 2008. Mitomycin C was selected as an adjunctive antifibrotic agent to trabeculectomy in 85% to 99% of cases. ■ CONCLUSION: Glaucoma surgical practice patterns have changed since 1996. The use of a GDD has progressively increased, and the popularity of trabeculectomy decreased between 1996 and 2008. Mitomycin C remains the most frequently selected antifibrotic agent used as an adjunct to trabeculectomy.

Original languageEnglish (US)
Pages (from-to)202-208
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Issue number3
StatePublished - 2011

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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